Standard 1.
Management Accountability
Management
Accountability
Standard 1: Management Accountability
1.01
1.02
1.03
1.04
1.05
1.06
1.07
1.08
Initial Background Screening*
Five-Year Rescreening
Pre-Service and/or In-Service Training
Incident Reporting (CCC)*
Administration
JJIS and Data Requirements
Mental Health Services Staffing Requirements/Qualifications
Substance Abuse Services Staffing Requirements/Qualifications
1-2
1-4
1-5
1-7
1-8
1-9
1-10
1-13
* The Department has identified certain key critical indicators. These indicators
represent critical areas requiring immediate attention if a program operates below
Department standards. A program must therefore achieve at least a Satisfactory
Compliance rating in each of these indicators. Failure to do so will result in a program
alert form being completed and distributed to the appropriate program area (Detention
Services, Residential Services, Probation and Community Intervention).
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-1
Standard 1.
Management Accountability
1.01 Initial Background Screening
Background screening is conducted for all Department
employees, contracted provider and grant recipient
employees, volunteers, mentors, and interns with access
to youth. The background screening process is completed
prior to hiring an employee or utilizing the services of a
volunteer, mentor, or intern. An Annual Affidavit of
Compliance with Level 2 Screening Standards is
completed annually.
— CRITICAL —
Guidelines: Background screening is mandatory for
employees, volunteers, mentors, and interns with access to
youth to ensure they meet established statutory requirements
of good moral character. The department is cognizant of its
status as a criminal justice agency and its special
responsibilities in dealing with the youth population, and has
determined it is appropriate to establish stringent screening
requirements for all DJJ personnel. Therefore, the
Department utilizes Level 2 Screening Standards as required
in s.435.05, F.S.
Guest speakers, guest performers, ministers, or other visiting
personnel who interact with youth on an occasional basis do
not need to be background screened if they are under the
constant and direct supervision of background screened staff.
Current employees of the Department or a provider are not
required to submit a new background screening request
when they are promoted, demoted, or transferred into
another position within their organization, as long as there is
no break in service.
A new background screening is required when a Department
employee is hired by a provider or when a provider
employee is hired by the Department or another contracted
provider company.
Moving from DJJ or a contracted provider, from a contracted
provider to DJJ, or from one contracted provider company to
another is considered a new hire.
Neither the Department nor contracted providers shall hire
any applicant until:
a. An eligible background screening rating has been
received.
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-2
Standard 1.
Management Accountability
b. An application with ineligible rating has received an
approved exemption from disqualification from the
Department.
Teachers who are paid by the school board or who are paid
through funding provided by the school board or Department
of Education to provide instruction to youth in programs are
not required to undergo background screening by the
Department.
Review files of all staff hired since the last annual
compliance review to determine a clearance was received
prior to the employee being hired.
An exemption was granted by the DJJ Inspector General
prior to hiring any staff currently working in the program
who were rated ineligible for employment by DJJ Inspector
General to continue employment.
Review documentation to determine whether the Affidavit of
Compliance with Level 2 Screening Standards was
submitted to the Background Screening Unit prior to January
31 of the current calendar year.
References:

FDJJ-1800, Background Screening Policy and Procedure

IG/BSU-006, The Inspector General Background
Screening Unit Form
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-3
Standard 1.
Management Accountability
1.02 Five-Year Rescreening
Background screening is conducted for all Department
employees, contracted provider and grant recipient
employees, volunteers, mentors, and interns with access
to youth. Employees and volunteers are rescreened every
five years from the initial date of employment.
Guidelines: A rescreening is completed every five years,
calculated from the agency hire date. Five-year rescreens
shall not be completed more than twelve months prior to the
employee’s five-year anniversary date.
When a rescreening is submitted to the BSU at least ten
business days prior to the five-year anniversary date, but it is
not completed by the BSU on or before the anniversary date,
the screening shall meet Monitoring and Quality
Improvement standards of compliance.
When a rescreening is not submitted to the BSU at least ten
business days prior to the five-year anniversary date and the
BSU does not complete the rescreening prior to the
anniversary date, the screening shall not meet Monitoring
and Quality Improvement standards of compliance.
Review the employee and volunteer roster to determine
which staff and volunteers required a five-year rescreening
since the last annual compliance review. All eligible staff
and volunteers should be reviewed.
Reference:

FDJJ-1800, Background Screening Policy and
Procedures
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-4
Standard 1.
Management Accountability
1.03 Pre-Service and/or In-Service Training
All Redirections staff successfully complete training
requirements as set forth below. The following training
shall be completed prior to the delivery of direct services
to Department youth and/or as in- service training to
Redirections staff:







Juvenile Justice Information System (JJIS) - PreService
Information Safety Awareness - Pre and In- Service
Motivational Interviewing (MI) - Pre-Service
Prison Rape Elimination Act (PREA) - Pre and InService
Critical Incident Reporting Requirements – PreService
Trauma Informed Care - Pre-Service
Adolescent Behavior - Pre-Service
Guidelines: Review training files and/or the Department’s
Learning Management System (CORE) for Redirection staff
completion of the following required trainings;
Juvenile Justice Information System (JJIS): This one day
training in JJIS ensures the provider’s staff possess the
necessary training and permissions to access and use JJIS.
Information Safety Awareness: Redirections staff who have
access to JJIS must complete this on-line course prior to
accessing confidential information and are required to repeat
the course annually.
Motivational Interviewing (MI): All staff having direct
contact with youth shall complete Motivational Interviewing
training, with the exception of clinical practitioners. This
two-day MI training will be provided by the Department.
This training is offered at a variety of locations across the
state and enrollment is coordinated with the Department.
A provider may provide their own MI training, as long as
they have a Department approved Qualified Trainer who
follows the training protocol/trainer agreement issued by the
Department and the trainer meets Qualified Trainer (QT)
qualifications. Documentation of MI Training shall be
maintained for each employee.
Prison Rape Elimination Act (PREA): To ensure anyone
who comes into contact with youth abides by the DJJ policy
(FDJJ 1919) for zero tolerance for sexual misconduct all DJJ
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-5
Standard 1.
Management Accountability
employees contract providers and volunteers are required to
take the PREA on-line course every two years.
Critical Incident Reporting Requirements: The two hour
training will be provided by the Department Contract
Managers and is provided to ensure provider and all staff
providing direct services to youth fully understands the
Central Communications Center reporting requirements in
Rule 63F.11.001-11.006, Florida Administrative Code.
Trauma Informed Care: All staff who work with youth in
DJJ care are required to take this course. The course will
assist staff in recognizing trauma and trauma triggers in
youth, identifying physical warning signs indicating a youth
may lose control and identify behaviors for staff who
demonstrate trauma informed practices.
Adolescent Behavior: This course is essential in
understanding the brain development and its influences on
adolescent behavior-traits of cognitive, social, and emotional
development, and the behavior commonly exhibited by
delinquent youth.
Community Positive Achievement Change Tool (C-PACT):
The Department does not require full C-PACT training for
Redirections providers, but will provide materials and
worksheets on the C-PACT process sufficient to provide all
staff an understanding of the C-PACT assessment. If the
Redirections provider chooses the full two day C-PACT
training, the Department will provide the training at a variety
of times and locations across the state. Motivational
Interviewing training must be completed prior to attending
C-PACT training.
Reference:

DJJ/Redirections contract, Attachment A-1,III,C,8
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-6
Standard 1.
Management Accountability
1.04 Incident Reporting (CCC)
Whenever a reportable incident occurs, the program
notifies the Department’s Central Communications
Center (CCC) within two hours of the incident, or within
two hours of becoming aware of the incident.
— CRITICAL —
Guidelines: This indicator shall be rated “Non- Applicable,”
if the program has not had any reportable incidents during
the scope of the review. If there are no CCC reports for the
past six months, the regional monitor/reviewer may sample
reports since the date of the last annual compliance review,
but no more than twelve months.
Incidents discovered and reported by the review team during
the review shall be considered “Non-Applicable,” unless
documentation exists the program was aware of the incident,
but failed to report it.
The purpose of the Central Communications Center is to
provide a service to DJJ, the providers, and programs in
maintaining a safe environment for the treatment, care, and
provision of services to youth. The CCC activities are
conducted twenty-four hours a day, seven days a week. The
telephone number for the CCC is 1-800-355-2280.
The reporting of incidents shall be consistent with the
Department’s requirements. The regional monitor/reviewer
shall be familiar with the Department’s incident reporting
requirements and list of reportable incidents.
Review CCC reports for the past six months to determine
compliance with CCC reporting procedures.
Review internal incidents and grievances to determine if
additional incidents should have been reported to CCC.
Reference:

F.A.C. 63F-11, Central Communications Center
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-7
Standard 1.
Management Accountability
1.05 Administration
The Redirections program provides a safe and
appropriate treatment environment including
administrative and operational oversight.
Guidelines: The facility director is responsible for
maintaining information on the facility and reporting to the
Department.
Monthly reports shall be submitted to the department
detailing incidents and population data.
Youth listed on the program roster shall match the census
report in the Juvenile Justice Information System (JJIS),
Prevention Web.
Statistical information shall be maintained, including
monthly data on admissions, releases, transfers, absconds,
abuse reports, medical and mental health emergencies,
incidents, personnel actions, volunteer hours, and average
length of stay.
Monthly reports include:






Youth Monthly Progress Report
Monthly Service Summary Report
Discharge Summary Report
Fidelity Monitoring Report
Compliance Monitoring Report
Ad Hoc Reports
Reference:

DJJ Redirections Contract, Attachment A
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-8
Standard 1.
Management Accountability
1.06 JJIS and Data Requirements
The Redirections provider and subcontracted service
providers shall utilize the Department’s Juvenile Justice
Information System (JJIS) for data entry and shall
monitor accuracy at all times.
Guidelines: The Youth Placement-Facility module shall be
utilized to handle all referral acceptance, rejection, and
placement. Referrals made by the Department must be
reviewed and either accepted or rejected (provider shall
determine they will or will not work with the referred youth)
within 48 hours of referral.
The Evidence Based Services module shall be utilized to
track all evidence-based services delivered.
The Youth Release module shall be used to complete all
releases and is an up to date census for all youth currently
being served. All youth receiving services from a
subcontractor (program) must appear on the youth release
module listing.
Youth must be entered as “released” from the services in
JJIS within twenty-four hours of release. The provider shall
keep their own reports on all referrals (both accepted and
rejected), placements (admissions), and releases with dates
and reasons notated for each youth.
Within the JJIS System, staff verification data shall be
maintained by the provider utilizing the Staff Verification
System (SVS) module.
At a minimum, the date of youth admission for service, date
of discharge/release, and release reason for each youth
admitted must be collected and reported in JJIS.
Reference:

DJJ Redirections contract Amendment A-1,III. A. 6.
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-9
Standard 1.
Management Accountability
1.07 Mental Health Services Staffing
Requirements and Qualifications
All Redirections staff providing mental health services
must be fully licensed and have completed the
prerequisite training to provide such services according
to Florida law.
Guidelines: Staff providing mental health services,
including Multisystemic Therapy (MST), Functional Family
Therapy (FFT), Brief Strategic Family Therapy (BSFT),
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT),
or other evidence-based or promising practice mental health
services shall be:






A public mental health agency licensed by the state;
A private for-profit or not-for-profit mental health
agency;
A psychiatrist licensed under Chapter 458 or 459,
Florida Statutes;
A psychologist licensed under Chapter 490, Florida
Statutes;
A mental health counselor, clinical social worker, or
marriage and family therapist licensed under Chapter
491, Florida Statutes;
A service provider (agency or corporate entity)
determined to be eligible to provide mental health
services under Chapter 394, Florida Statutes, and
Chapter 409, Florida Statutes, or a substance abuse
service provider licensed under Chapter 397, Florida
Statutes, eligible to provide community behavioral
health services under Chapter 409, Florida Statutes.
The licensed mental health professional and mental health
clinical staff person providing evidence-based or promising
practice therapy shall have received training in that program
model.
Mental Health Services shall be provided by a licensed
mental health professional or a non-licensed mental health
clinical staff person working under the direct supervision of
a licensed mental health professional.
Direct supervision means the licensed mental health
professional has at least one hour per week of on-site faceto- face interaction with the non-licensed mental health
clinical staff person for the purpose of overseeing and
directing the provided mental health services (as permitted
by law within his or her state licensure).
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-10
Standard 1.
Management Accountability
A licensed mental health professional means:




A psychiatrist licensed pursuant to Chapter 458 or 459,
Florida Statutes who is board certified in Child and
Adolescent Psychiatry or Psychiatry by the American
Board of Psychiatry and Neurology or has completed a
training program in Psychiatry approved by the
American Board of Psychiatry and Neurology for
entrance into its certifying examination, or
A psychologist licensed pursuant to Chapter 490, Florida
Statutes, or
A mental health counselor, clinical social worker, or
marriage and family therapist licensed pursuant to
Chapter 491, Florida Statutes, or
A psychiatric nurse as defined in Section 394.455(23),
Florida Statutes.
A non-licensed mental health clinical staff person providing
mental health services shall have, at a minimum, a
Bachelor’s degree from an accredited university or college
with a major in psychology, social work, counseling, or
related human services field, defined as one in which major
course work includes the study of human behavior and
development, counseling and interviewing techniques, and
individual, group or family therapy.
A non-licensed mental health clinical staff person providing
mental health services to Department youths shall meet one
of the following qualifications:



Hold a Master’s degree from an accredited university or
college in the field of counseling, social work,
psychology, or related human services field;
Hold a Bachelor’s degree from an accredited university
or college in the field of counseling, social work,
psychology, or related human services field and have
two years’ experience working with (e.g. assessing,
counseling, treating) youths with serious emotional
disturbance or substance abuse problems; or
Hold a Bachelor’s degree from an accredited university
or college in the field of counseling, social work,
psychology, or related human services field and have 52
hours of pre-service training in the areas described
below prior to working with youths, and be trained for
one year by a mental health staff person who holds a
Master’s degree. The 52 hours of pre-service training
shall include a minimum of 16 hours of documented
training in their duties and responsibilities.
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-11
Standard 1.
Management Accountability
Pre-service training shall cover, at a minimum, the following
components: basic counseling skills, basic group skills,
program philosophy, therapeutic milieu, behavior
management, client rights, crisis intervention, early
intervention and de-escalation, documentation requirements,
normal and abnormal adolescent development and typical
behavior problems.
Direct supervision means the licensed mental health
professional has at least one hour per week of on-site face-to
-face interaction with the non-licensed mental health clinical
staff person for the purpose of overseeing and directing the
provided mental health services (as permitted by law within
his or her state licensure).
Reference:

DJJ Redirections contract, Amendment A-1, III. C. 3.
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-12
Standard 1.
Management Accountability
1.08 Substance Abuse Services Staffing
Requirements and Qualifications
All Redirections staff providing substance abuse services
must be fully licensed or have completed the prerequisite
training as required by Florida law.
Guidelines: Substance Abuse Services shall be provided by:





A qualified professional licensed under Chapter 458,
459, 490 or 491, Florida Statutes, which means a
physician licensed under Chapter 458 or 459, Florida
Statutes;
A psychologist licensed under Chapter 490, Florida
Statutes; or
A mental health counselor, clinical social worker or
marriage and family therapist licensed under Chapter
491, Florida Statutes; or
A person who is a substance abuse service provider
licensed under Chapter 397, Florida Statutes; or
An employee of a substance abuse service provider
licensed under Chapter 397, Florida Statutes, who holds,
at a minimum, a Bachelor’s degree from an accredited
university or college with a major in psychology, social
work, counseling or related human services field.
A related human service field is one in which major course
work includes the study of human behavior and
development, counseling and interviewing techniques, and
individual, group or family therapy.
A non-licensed substance abuse clinical staff person shall be
an employee of a service provider licensed under Chapter
397, Florida Statutes, and shall work under the direct
supervision of a “qualified professional” (as defined in
Section 397.311(26), Florida Statutes).
Direct supervision means the “qualified professional” has at
least one hour per week of face-to-face interaction with the
non-licensed substance abuse clinical staff person who is an
employee of the service provider licensed under Chapter
397, Florida Statutes, for the purpose of overseeing and
directing the provided substance abuse services.
Reference:

DJJ Redirections contract, Amendment A-1, III. C. 4.
Florida Department of Juvenile Justice
Office of Program Accountability
Revised: July 1, 2015
Monitoring and Quality Improvement Standards
Redirection Services
Page 1-13